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Organization

LP ORMOND BEACH LLC

Active
Other names
Signature HealthCARE of Ormond
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN HARRISON (CFO)
(502) 568-7800
Entity
Organization

Contact information

Practice address
103 CLYDE MORRIS BLVD, ORMOND BEACH, FL 32174-5982
(386) 673-0450
(386) 676-1302
Mailing address
12201 BLUEGRASS PARKWAY, LOUISVILLE, KY 40299-2361
(502) 568-7800
(502) 568-7150

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1397096
FL

Other

Enumeration date
08/01/2007
Last updated
02/25/2022
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